Abstract
Background and Objectives: Adenotonsillectomy is one of the most common surgeries in pediatrics. Post operative local pain and referral otalgia is one of the most annoying post tonsillectomy complications and inappropriate pain control causes child discomfort from oral intake and dehydration and prolongation of convolsences period. Different protocol used by otolaryngoloists for pain management in different medical centers. However there isn't unique order in references for post tonsillectomy pain control. The aim of this study was comparison of analgesic effects of acetaminophen and diclofenac suppository in children adenotonsillectomy pain control.
Materials and Methods: 150 children (4-14 y) who were candidate for tonsillar surgery in double blind porspective case control study from September 2005 to Jun 2006 admitted and operated by unique otolaryngology and anesthesiology team. Paracetamol or diclofenac suppository used for all patients and postoperative pain assessed by Wong Baker pain score. All results analyzed by SPSS ver 14.
Results: There wasn't significant different between analgesic effect of paracetamol and diclofenac suppository (P>0.05). There wasn’t correlation between sex and age and analgesic effects. There wasn’t high frequency of postoperative bleeding after diclofenac usage. Application of suppository immediately after cut off of anestethic drug was more effective in pain control (P<0.05).
Conclusion: Analgesic effect of paracetamol and diclofenac were equal on posttonsillectomy pain control.